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Healthcare Economics Consultant

1 month ago

Minnetonka, Minnesota, United States UnitedHealth Group Full time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

What makes your Healthcare Economics career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission.

The Healthcare Economics Consultant will support United Retiree Solutions (URS) Strategic Growth, Reporting and Analytics (SGRA) teams' analytic needs. This position will partner with the Associate Director to extract, analyze and interpret Healthcare data to uncover trends. This role will also assist in managing and understanding the customers' Medical and Pharmacy Cost trends. The role offers a unique blend of support for internal teams such as Actuarial and Finance, as well as customer-facing teams, such as Sales and Account Management.

The Healthcare Economics Consultant will be responsible for Medical and Pharmacy financial and utilization reporting. In this role, you will extract, aggregate and QA applicable data for measurement purposes leveraging existing or creating ad-hoc reporting capabilities to identify trends in health plan performance. You will work with very large data sets and see projects from conceptualization to completion by contributing to database creation, statistical modeling, and financial reports.

Primary Responsibilities:

  • Apply critical thinking skills to anticipate questions from key stakeholders and consider all aspects of an analysis before completion
  • Use SAS/SQL to construct claims-based datasets
  • Construct polished MS Excel models to satisfy analytical requests
  • Provide ongoing, meaningful, communications to managers on project status, results and conclusions from analyses
  • Identify, analyze, and explain Medicare medical trends using claims-based analyses
  • Understand and interpret key drivers of health care trends (i.e. medical cost trends, utilization, etc.), clinical program performance, and potential opportunities for medical cost reduction or program improvement
  • Build strong relationships within the organization including finance, network pricing, product, actuarial/underwriting, clinical, and operations teams as well as other areas to create a connection between medical trend evaluations and financial results
  • Update reports to support trend analysis

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 2+ years of applicable corporate or academic experience in data analytics-examining and summarizing data to uncover insights
  • Experience working with healthcare data
  • Ability to pay attention to detail and ensure accuracy of work
  • Intermediate or higher level of proficiency with MS PowerPoint and MS Excel (practical experience working with pivot tables, advanced formulas, graphs, vlookups)
  • Experience with SAS, SQL or another statistical software

Preferred Qualifications:

  • Experience working with large healthcare claims-based datasets
  • VBA knowledge
  • Team oriented and motivated to collaborate
  • Proactive problem-solving abilities

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.